腹腔镜不同途径与方法行全直肠系膜切除质量控制评价  

Comparison of total mesorectal excision quality with the different approaches and devices

作　　者：池畔[1] 陈致奋[1] 

机构地区：[1]福建医科大学附属协和医院结直肠外科,福建福州350001

出　　处：《中国实用外科杂志》2016年第1期28-33,共6页Chinese Journal of Practical Surgery

基　　金：卫生部国家临床重点专科建设资助项目(卫办医政函[2012]649号)

摘　　要：传统的开腹全直肠系膜切除曾是中低位直肠癌手术治疗的标准术式。随着腹腔镜技术的发展,目前越来越多单位已常规开展腹腔镜全直肠系膜切除。多数临床研究表明,腹腔镜全直肠系膜切除的手术质量不劣于开腹手术。近年出现了经肛门行全直肠系膜切除以及应用3D腹腔镜或机器人手术系统行全直肠系膜切除,并开展了相关临床研究。这些新术式及新设备的应用有其优势,但也存在一些问题,并缺乏充分的循证医学证据。The traditional open total mesorectal excision used to be the standard operation for mid-low rectal cancer. With the development of laparoseopy, more and more hospitals have regularly performed laparoscopic total mesorectal excision. And most of clinical trials have confirmed that the laparoscopic total mesorectal excision is not inferior to the open surgery. Recently, the new technique of transanal approach and new devices （3D and robotic） are applied to perform total mesorectal excision, and related clinical trials are conducted. There are certain advantages of these new technique and devices, but they also have some disadvantages and lack of evidences.

关 键 词：全直肠系膜切除 3D腹腔镜 机器人手术系统 经肛门全直肠系膜切除 质量控制 

分 类 号：R6[医药卫生—外科学]